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312119 06/05/17
4+d C,^*R �; � CITY OF CARMEL, INDIANA VENDOR: 370103 ONE CIVIC SQUARE SOUTHERN ROCK RESTAURANTS LLC CHECK AMOUNT: S......*178.93* `� CARMEL, INDIANA 46032 2355 E 116TH ST CHECK NUMBER: 312119 ' CARMEL IN 46032 CHECK DATE: 06/05/17 �SON� DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1082 4239039 108.50 1095-05252017DK1 1082 4239039 70.43 1095-05252017DK2 W O O o 0 -u v n NK) R CD o p C CCD tJ� A z W z D o d n 8 z n 40t'»:....N > >O CL < ,:. p� a cX cX O pC tlh: •+ N >;::;.... ? CLCY m TM ; 1 m z o O � .Z7 m D +':: ` o 0 ? d co cO sa •� A x::> CD is v, o O p oo 9 COCDD Cw c Z > 69 ic Z .. r n w o 00 z C4 w o v y c�i w = c' �CD o U CD CL m c X O N 0 _% D o CD ;3, 40 m (A N CD 3m � M CD d °-�' CL 0 y '� w g CD o m ° W N NN N N O O O d n' = CD m =r j o n CD fD a 013. r < CD 1 O � o 91)> > N o 3 O cr CL 0 ^' M CD " I O O � 1 Southern Rock Restaurants, LLC Invoice No. 1095-05252017DK1 Invoice Date: May 25,2017 PO#/Order Date PO#XX-5346/05/25/2017 Bill To: Dawn Koepper/Carmel Parks Attn:Jaime Clark Address: 1411 E. 116th Street 2355 E. 116th Street Carmel, IN 46032 Carmel IN 46032 Phone: 317-573-4026 2017 317-817-8000E-mai1: dkoepper@carmelclayparks.cor Disk' 0", 't, Units ,Pernit l�mauni« ., . . � BOXED LUNCHES 9 $8.75 $ 78.75 FRUIT CUP 1 $0.75 $ 0.75 GALLONS _ 4 $6.00 $ 24.00 DELIVERY FEE 1 5.00 $ 5.00 TAX EXEMPT# 0119683083-001 Invoice Subtotal $ 108.50 Tax Rate 0.00% Sales Tax Make all checks payable to Southern Rock Restaurants, LLC Total due in 15 days.Overdue accounts subject to a service charge of 2%per month. Thank you for your business! Southern Rock Restaurants, LLC Invoice No. 1095-05252017DK2 Invoice Date: May 25,2017 PO#/Order Date PO#XX-5347/05/25/2017 Bill To: Dawn Koepper/Carmel Parks Attn:Jaime Clark Address: 1411 E. 116th Street 2355 E. 116th Street .�.T. 11C), Carmel, IN 46032 IR 717-Carmel, IN 46032 Phone: 317-573-4026 317-817-8000 ir j ! E-mail: dkoepper@c armelclayparks.cor BY:..................... ........ sClpt©n k Unitst7St llr Unit AIr10i��>Y �i: OFF MENU ITEMS LUNCH 1 $53.43 $ 53.43 GALLON W/.,_ WORKS 1 $7.50 $ 7.50 GALLON 1 $6.00 _ $ 6.00 LABEL BY NAME 7 $0.50 $ 3.50 TAX EXEMPT#0119683083-001 PO#XX-5347 Invoice Subtotal $ 70.43 Tax Rate 0.00% Sales Tax i 4 10.41 Make all checks payable to Southern Rock Restaurants, LLC Total due in 15 days.Overdue accounts subject to a service charge of 2%per month. Thank you for your business!